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目的 探讨减少直肠肌鞘内拖出术特有并发症及采取行之有效的治疗和预防。方法 对１３４ 例行直肠肌鞘内拖出术病例进行回顾性分析， 其中结肠拖出１２７ 例， 回肠拖出７ 例， 术后２周内出现特有并发症２８ 例（２０．６ ％ ）， 其中肌鞘感染９ 例（６ ．６％ ） 、鞘内结肠假性梗阻１４ 例（１０ ％） 、鞘内肠管上缩５ 例（３ ．７％ ）， 因特有并发症死亡３ 例（２．２ ％ ）。结果 分析３ 种特有并发症发生的原因、临床特征及防治措施， 证实手术前后采用三联药物及术中严格的无菌技术等措施将鞘内感染病例由８ ．２％ （９／９８） 降低到１ ．８％ （１／３６） ， 且无严重感染病例发生， 统计学示有显著性差异（ Ｐ＜ ０．０５） 。肌鞘内下拖的肠管腔内安放肛管导气导便能有效防止鞘内结肠产生假性梗阻。严谨的手术操作方法可基本杜绝鞘内肠管上缩。结论 直肠肌鞘内拖出术的临床应用范围较广， 认识和防止特有并发症的发生可显著提高手术的治疗效果。
Objective To investigate the specific complications of rectal muscle and intrathecal drag and to take effective treatment and prevention. Methods Retrospective analysis was performed on 134 cases of rectum muscular intrathecal pull-out technique, of which 127 cases were pulled out of the colon and 7 cases were pulled out of the ileum. There were 28 cases (20.6%) with specific complications within 2 weeks after operation Nine cases had muscular sheath infection (6.6%), 14 cases (10%) had intubated false colon obstruction, 5 cases (5.3%) had intrathecal intestinal upturn, and 3 cases died due to specific complications %). Results The causes, clinical characteristics and prevention and treatment of three specific complications were analyzed. The results showed that the intrathecal infection was caused by triple therapy and strict aseptic technique before and after operation. 2% (9/98) down to 1. 8% (1/36), and no serious cases of infection, the statistics showed significant differences (P <0.05). Intramuscular intrathecal drag placed within the anal canal airway catheter can effectively prevent the formation of pseudo-sheath intratemporal obstruction. Rigid surgical procedures can basically eliminate the sheath intrathecal retraction. Conclusion The clinical application of rectal muscle and intrathecal pull-out has a wide range of applications. It is significant to recognize and prevent the occurrence of specific complications that can significantly improve the therapeutic effect of surgery.